Effectiveness of Emo-Demo to Improve Knowledge and Skills in Stunting Prevention Behavior in Infants Aged 0–6 Months
Abstract
Background: Stunting is a persistent malnutrition issue caused by prolonged inadequate nutritional intake. The results of the preliminary study that was conducted found low stunting prevention behavior in infants aged 0-6 months in Jaddih Village. The objective of the research was to evaluate the efficiency of the Emo-Demo method in improve knowledge and skills in stunting prevention behavior. Methods: The research design was quasi-experimental. The independent variables was health education with the Emo-Demo method, and the dependent variables were knowledge, skills, and behavior. This study used questionnaires and statistical tests including the Wilcoxon test, paired sample t-test, independent t-test, Spearman Rank, and linear regression. Results: The Wilcoxon test obtained p=0.000<0.05, indicating a difference in knowledge before and after the Emo-Demo intervention. The paired sample t-test obtained p=0.000<0.05, indicating a difference in knowledge before and after the lecture intervention. A p-value of 0.000<0.05 was found, indicating a difference in skills before and after the Emo-Demo intervention. However, p = 0.083 > 0.05 indicated no significant difference in skills before and after the lecture intervention. The independent t-test showed significant differences in knowledge (p = 0.022) and skills (p = 0.021) between treatment and control groups. Spearman Rank analysis revealed significant correlations between knowledge and behavior (p = 0.047, r = 0.354), and between skills and behavior (p = 0.004, r = 0.494). Combined, knowledge and skills significantly influenced behavior (p = 0.046). Conclusion: The Emo Demo method is effective and efficient in increasing knowledge, skills and behavior related to stunting prevention care. Health workers and service facility staff are expected to help reduce stunting prevalence by promoting maternal preventive behaviors for infants aged 0-6 months through health education using the Emo-Demo method.
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Indrio F, Pietrobelli A, Dargenio VN, Marchese F, Grillo A, Vural M, et al. The key 1000 life-changing days. Global Pediatrics. 2023;4:100049. http://dx.doi.org/10.1016/j.gpeds.2023.100049
Alqurishi AK, Tawfiq HL, Hussein HK, Al-Attar Z. Prevalence and Reasons of Incomplete Vaccination among Children below Two Years old. Azerbaijan Medical Journal. 2022;62(4):1351-1365.
Ejemot-Nwadiaro RI, Ehiri JE, Arikpo D, Meremikwu MM, Critchley JA. Hand washing promotion for preventing diarrhoea. Cochrane Database of Systematic Reviews. 2015;2015(9):CD004265. http://dx.doi.org/10.1002/14651858.cd004265.pub3
Asqy Dendy ER, Putri RGP, Yuniasih D, Kurniawan NU. The Association Between Exclusive Breastfeeding and the Occurrence of Stunting Among Children Aged 12-60 Months in Community Health Centers in Yogyakarta City. Diponegoro Medical Journal. 2024;13(1):37–43. http://dx.doi.org/10.14710/dmj.v13i1.40723
Pramulya I, Wijayanti F, Saparwati M. Hubungan pemberian asi eksklusif dengan kejadian stunting pada balita usia 24-60 bulan. Jurnal Kesehatan Kusuma Husada. 2020;35–41. http://dx.doi.org/10.34035/jk.v12i1.545
Laksono AD, Wulandari RD, Amaliah N, Wisnuwardani RW. Stunting among children under two years in Indonesia: Does maternal education matter? Sato MO, editor. PLOS ONE. 2022;17(7):e0271509. http://dx.doi.org/10.1371/journal.pone.0271509
Indonesian Ministry of Health. Survei Status Gizi Indonesia (SSGI) 2022. Indonesian Ministry of Health; 2023. Available from: https://layanandata.kemkes.go.id/katalog-data/ssgi/ketersediaan-data/ssgi-2022 (Accessed on 12 Jan 2025)
Indonesian Ministry of Health. SKI 2023 Dalam Angka. Indonesian Ministry of Health; 2023. Available from: https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/ (Accessed on 12 Jan 2025)
Hermawan SI, Yani DI, Yulianita H, Rahayuwati L. Correlation Mothers’ Knowledge about Stunting and Exclusive Breastfeeding Behavior. Journal of Nursing Care. 2023;6(2). http://dx.doi.org/10.24198/jnc.v6i2.44398
Mshida HA, Kassim N, Mpolya E, Kimanya M. Water, Sanitation, and Hygiene Practices Associated with Nutritional Status of Under-Five Children in Semi-Pastoral Communities Tanzania. The American Journal of Tropical Medicine and Hygiene. 2018;98(5):1242–9. http://dx.doi.org/10.4269/ajtmh.17-0399
Phukan D, Ranjan M, Dwivedi LK. Impact of timing of breastfeeding initiation on neonatal mortality in India. International Breastfeeding Journal. 2018;13(1). http://dx.doi.org/10.1186/s13006-018-0162-0
Rengganis A, Katmini K. Application of Theory of Planned Behavior on the Implementation of the Emo Demo Creation of Healthy PMT with Full Nutrition in Posyandu Gedang – Gedang Village Batuputih Sumenep. Journal for Quality in Public Health. 2021;5(1):19–26. http://dx.doi.org/10.30994/jqph.v5i1.243
Shofa M, Mujito M, Lundy F. The effect of education using the emo-demo method on parents' knowledge and skills in preventing stunting. Jurnal Cakrawala Promkes. 2024;6(2):104-112. https://doi.org/10.12928/jcp.v6i2.11231
Al Rahmad AH, Junaidi, Muliyani NS,Emilda. The impact of integrating the ISO/IEC 25010 standard into the "PSG Balita" on the quality of the toddler nutritional status report data. AcTion: Aceh Nutrition Journal. 2023;8(4):653-659. http://dx.doi.org/10.30867/action.v8i4.754
Thakur S, Mathur P. Nutrition knowledge and its relation with dietary behaviour in children and adolescents: a systematic review. International Journal of Adolescent Medicine and Health. 2021;34(6):381–392. http://dx.doi.org/10.1515/ijamh-2020-0192
Mutiarani AL, Putri PH, Yuliani K. Perbedaan Edukasi Pemberian Makan Balita dengan Metode Emotional Demonstration dan Metode Ceramah terhadap Pengetahuan dan Sikap Ibu Balita di RT 06 RW 08 Kelurahan Keputih Kota Surabaya. Preventia : The Indonesian Journal of Public Health. 2022;7(2):18. http://dx.doi.org/10.17977/um044v7i22022p18-24
Andriana A, Junita E, Kristina E, Herawaty R, Fahmi YB. The effect of emo-demo training on knowledge and skills of posyandu cadres on “ASI only enough.” Jambura Journal of Health Sciences and Research. 2022;4:8–14. http://dx.doi.org/10.35971/jjhsr.v4i0.12527
Nadira NA, Widdefrita W, Amos J, Silaban EML, Yuzar Y, Adriyanti SL. Edukasi Emo-Demo pada Kader Posyandu dan Ibu Balita dalam Pencegahan Masalah Gizi. Abdi: Jurnal Pengabdian dan Pemberdayaan Masyarakat. 2023;5(2):158–164. https://doi.org/10.24036/abdi.v5i2.405
Kusumaningrum S, Anggraini MT, Faizin C. Hubungan Pengetahuan dan Dukungan Keluarga dengan Perilaku Pencegahan <em>Stunting</em> pada Ibu Hamil. Herb-Medicine Journal. 2022;5(2):10. http://dx.doi.org/10.30595/hmj.v5i2.12787
Meinitasari E, Yuliastuti F, Santoso SB. Hubungan tingkat pengetahuan terhadap perilaku penggunaan antibiotik masyarakat. Borobudur Pharmacy Review. 2021;1(1):7–14. http://dx.doi.org/10.31603/bphr.v1i1.4869
Notoatmodjo S. Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta; 2014.
Asri, Sigit Mulyono, Uswatul Khasanah. Pengaruh Pelatihan Kader Posbindu Terhadap Perilaku Deteksi Dini Hipertensi Pada Usia Dewasa. Jurnal Kesehatan Panrita Husada. 2020;5(1):43–52. http://dx.doi.org/10.37362/jkph.v5i1.315
Fishbein, Martin, Ajzen I. Predicting and changing behavior: The reasoned action approach. New York, NY: Psychology Press; 2010.
Yulianisa E, Mardiyah MS. Sikap, Keterampilan Individu, dan Dukungan Suami terhadap Perilaku Pencegahan Infeksi Luka Perineum Ibu Postpartum. Jurnal Ilmiah Kebidanan Indonesia. 2019;9(04):154–62. http://dx.doi.org/10.33221/jiki.v9i04.409
Nisa F, Damayanti N, Suhariadi F, Anggasari Y, Dewi FE, Arini D, et al. Breastfeeding based on Breastfeeding Self-efficacy and Social Support in Wonokromo Surabaya. Open Access Macedonian Journal of Medical Sciences. 2021;9(E):1026–31. http://dx.doi.org/10.3889/oamjms.2021.6381
Yuniarly E, Ayun Q, Kumalasari DE, Purwati DE. Knowledge about Dental Caries and The DMF-T Index in Adolescents. Dental Therapist Journal. 2024;6(2):43–49. http://dx.doi.org/10.31965/dtj.v6i2.1650
DOI: https://doi.org/10.33846/hd20403
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